SURIYA BANDARA JAYAWARDENA


Address: 3650 Cape Center Dr, Fayetteville, NC 28304-2139
Phone: 9104830049

SURIYA BANDARA JAYAWARDENA (NPI# 1336338268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336338268
Entity Type Individual
Full Name SURIYA BANDARA JAYAWARDENA
Credential MD
Practice Address 3650 Cape Center Dr
Fayetteville
NC 28304-2139
Practice Telephone 9104830049
Practice Fax Number 9103398905
Mailing Telephone 9104830049
Mailing Fax Number 9103398905
Enumeration Date 2007-10-16
Last Update Date 2016-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
201001417 NC Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
201001417 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 3650 CAPE CENTER DR
City FAYETTEVILLE
State NC
Zip Code 28304-2139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962460550 Manesh Thomas Internal Medicine 3650 Cape Center Dr, Fayetteville, NC 28304-2139 2006-05-03
1104144914 Ferncreek Cardiology Pa Internal Medicine 3650 Cape Center Dr, Fayetteville, NC 28304-2139 2010-05-05
1053587139 Casey Devine Specialist 3650 Cape Center Dr, Suite201, Fayetteville, NC 28304-2139 2008-05-07
1598985715 Matthew Amiebi Daka Internal Medicine 3650 Cape Center Dr, Fayetteville, NC 28304-2139 2007-04-27
1649376898 Carolina Neurosurgical Services, P.a. Specialist 3650 Cape Center Dr, Suite 100, Fayetteville, NC 28304-4406 2006-09-15
1750487203 David B Gilbert Internal Medicine 3650 Cape Center Dr, Fayetteville, NC 28304-2139 2006-09-15
1235151432 Debbie R. Wright-thomasson Internal Medicine 3650 Cape Center Dr, Fayetteville, NC 28304-2139 2006-07-24
1629093307 Valerie J Beltrane-preston Physical Therapist 3650 Cape Center Dr, Suite201, Fayetteville, NC 28304-4406 2006-07-13
1811929920 Selvaratnam Sinna Internal Medicine 3650 Cape Center Dr, Fayetteville, NC 28304-2139 2006-07-07
1003868001 Jodi Dyer Specialist 3650 Cape Center Dr, Suite 201, Fayetteville, NC 28304-4406 2006-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174965826 Valley Cardiology, Pa Internal Medicine 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 2013-07-23
1659560647 Oduwole Organization Inc Internal Medicine 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 2007-10-16
1982648663 Northwest Arkansas Heart & Vascular Center Internal Medicine 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 2006-06-15
1023072808 David A Churchill Internal Medicine 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2006-04-17
1912984568 Arun Prahash Internal Medicine 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 2005-12-26
1679890966 Washington Regional Medical System Internal Medicine 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2010-04-26
1386827574 Cumberland Cardiology, P.a. Internal Medicine 909 S Mcpherson Church Rd, Fayetteville, NC 28303-5350 2007-12-11
1831386556 Zubair Ahmed Internal Medicine 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 2007-09-26
1689769507 Cardiac Disease Specialists, PC Internal Medicine 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-4548 2006-10-04
1538254487 Cardiac Disease Specialists, PC Internal Medicine 101 Yorktown Dr, Ste 209, Fayetteville, GA 30214-1568 2006-10-04
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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